<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7531</journal-id>
<journal-title><![CDATA[Revista Cubana de Pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Pediatr]]></abbrev-journal-title>
<issn>0034-7531</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75312022000200016</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Lengua vellosa negra en lactante]]></article-title>
<article-title xml:lang="en"><![CDATA[Black hairy tongue in infant]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta Torres]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matamoros Fernández]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santamarina Álvarez]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Toro]]></surname>
<given-names><![CDATA[María Lourdes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico Docente Cerro  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>94</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75312022000200016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75312022000200016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75312022000200016&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La lengua vellosa negra es un trastorno benigno adquirido, de presentación inusual en pediatría. Consiste en una glositis benigna caracterizada por una hipertrofia de las papilas filiformes linguales, con aumento de su queratinización, lo cual condiciona que la superficie adquiera un aspecto velloso con un color que varía de pardo negruzco a negro, debido a la presencia de microorganismos productores de sustancias cromógenas.  Objetivo: Describir las principales características de esta entidad y revisar los conceptos más actuales.  Presentación del caso:  Lactante de 10 meses que es llevado a consulta al notar la madre que el niño presentaba una lengua de color negro, con antecedentes de haber sido tratado con cefalexina debido a un impétigo contagioso 10 días antes. El examen físico mostró un aumento de volumen de las papilas filiformes linguales, posiblemente vinculada al uso del antibiótico, asociada a una defectuosa limpieza de la lengua. En el estudio microbiológico se aisló Cándida albicans, que se consideró como hallazgo concomitante. El tratamiento consistió en medidas de limpieza de la lengua con buena respuesta.  Conclusiones:  La lengua vellosa negra es una enfermedad autolimitada rara en lactantes, de diagnóstico clínico y buen pronóstico. El tratamiento debe ir encaminado al empleo de medidas higiénicas, como terapéutica de primera línea. El tratamiento antifúngico por lo general es innecesario. Hasta donde conocemos, este es el primer caso en Cuba, documentado en la literatura médica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Black hairy tongue is an acquired benign disorder, of unusual presentation in pediatrics. It consists of a benign glossitis characterized by a hypertrophy of the lingual filiform papillae, with increased keratinization, which conditions that the surface acquires a hairy appearance with a color that varies from blackish brown to black, due to the presence of microorganisms that produce chromogenic substances.  Objective:  Describe the main characteristics of this entity and review the most current concepts.  Case Presentation:  A 10-month-old infant who is taken to the consultation when the mother notices that the child had a black tongue, with a history of having been treated with cephalexin due to a contagious impetigo 10 days before. Physical examination showed an increase in volume of the lingual filiform papillae, possibly linked to the use of the antibiotic, associated with a defective cleaning of the tongue. In the microbiological study, Candida albicans was isolated, which was considered as a concomitant finding. The treatment consisted of tongue cleaning measures with good response.  Conclusions:  Black hairy tongue is a rare self-limiting disease in infants, with a clinical diagnosis and a good prognosis. Treatment should be aimed at the use of hygienic measures, as first-line therapy. Antifungal treatment is usually unnecessary. As far as we know, this is the first case in Cuba, documented in the medical literature.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[lengua negra]]></kwd>
<kwd lng="es"><![CDATA[lengua vellosa negra]]></kwd>
<kwd lng="es"><![CDATA[reacción adversa medicamentosa]]></kwd>
<kwd lng="es"><![CDATA[hiperqueratosis lingual]]></kwd>
<kwd lng="en"><![CDATA[Black tongue]]></kwd>
<kwd lng="en"><![CDATA[black hairy tongue]]></kwd>
<kwd lng="en"><![CDATA[adverse drug reaction]]></kwd>
<kwd lng="en"><![CDATA[lingual hyperkeratosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bermejo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Coronel]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Guisado]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[No es muguet todo lo que parece]]></article-title>
<source><![CDATA[Acta Pediátr Española]]></source>
<year>2020</year>
<volume>78</volume>
<page-range>111-3</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Clemente]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Larrea]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Serrano]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Imagen en Pediatría Clínica. Haz tu diagnóstico]]></article-title>
<source><![CDATA[Pediatr Integral]]></source>
<year>2020</year>
<volume>34</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>232-3</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fontoura]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neurological practice in the Centuriae of Amatus Lusitanus]]></article-title>
<source><![CDATA[Brain]]></source>
<year>2009</year>
<volume>132</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>296-308</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jhaj]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gour]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Asati]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Black hairy tongue with a fixed dose combination of olanzapine and fluoxetine]]></article-title>
<source><![CDATA[Indian J Pharmacol]]></source>
<year>2016</year>
<volume>48</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>318</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cardona]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Padilla]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Salazar]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Landini]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lengua negra vellosa. Comunicación de un caso]]></article-title>
<source><![CDATA[Rev Centro Dermatológico Pascua]]></source>
<year>2018</year>
<volume>27</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>92-5</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carrillo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Carrillo]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Graue]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Carrillo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Carrillo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lengua negra pilosa]]></article-title>
<source><![CDATA[Med Inter Méx]]></source>
<year>2016</year>
<volume>32</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>596-600</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carneiro]]></surname>
<given-names><![CDATA[Junqueira]]></given-names>
</name>
</person-group>
<source><![CDATA[Histología Básica]]></source>
<year>2005</year>
<edition>6ta</edition>
<publisher-loc><![CDATA[Barcelona ]]></publisher-loc>
<publisher-name><![CDATA[Masson ELSEVIER]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Resa]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lesión lingual negra en un lactante ¿qué es?]]></article-title>
<source><![CDATA[Pediatr Atenc Prim]]></source>
<year>2020</year>
<volume>22</volume>
<numero>85</numero>
<issue>85</issue>
<page-range>31-4</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sakaguchi]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Watari]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tetracycline-induced black hairy tongue]]></article-title>
<source><![CDATA[J Gen Fam Med]]></source>
<year>2020</year>
<volume>21</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>80-1</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Prabha]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Arora]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Nagarkar]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Glycopyrrolate-induced black hairy tongue]]></article-title>
<source><![CDATA[Indian Dermatol Online J]]></source>
<year>2020</year>
<volume>11</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>256</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rosebush]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Briody]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cordell]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Black and brown non-neoplastic pigmentation of the oral mucosa]]></article-title>
<source><![CDATA[Head Neck Pathol]]></source>
<year>2019</year>
<volume>13</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>47-55</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garg]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Sachdev]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Mehrotra]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pediatric Oral Pigmented Lesions: A Short Review]]></article-title>
<source><![CDATA[J Advan Med Dental Sci Res]]></source>
<year>2018</year>
<volume>6</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>46-9</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gurvits]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Tan]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Black hairy tongue syndrome]]></article-title>
<source><![CDATA[World J Gastroenterol (WJG)]]></source>
<year>2014</year>
<volume>20</volume>
<numero>31</numero>
<issue>31</issue>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Akcaboy]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Sahin]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Zorlu]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Senel]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ranitidine-induced black tongue: A case report]]></article-title>
<source><![CDATA[Pediatr dermatol]]></source>
<year>2017</year>
<volume>34</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>e334-e6</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Owczarek]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Radwan]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A Case of Lingua Villosa Nigra (Black Hairy Tongue) in a 3-Month-Old Infant]]></article-title>
<source><![CDATA[Am J Case Reports]]></source>
<year>2020</year>
<volume>21</volume>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ren]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Zheng]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Du]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Duan]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Antibiotic-induced black hairy tongue: two case reports and a review of the literature]]></article-title>
<source><![CDATA[J Internat Med Res]]></source>
<year>2020</year>
<volume>48</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1-11</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sevcan]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Kacar]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prednisolone-induced hairy tongue: a case report]]></article-title>
<source><![CDATA[Arch Rheumatol]]></source>
<year>2019</year>
<volume>34</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>348-51</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pigmentación de las papilas fungiformes linguales]]></article-title>
<source><![CDATA[Pediatr Atenc Prim]]></source>
<year>2015</year>
<volume>17</volume>
<numero>67</numero>
<issue>67</issue>
<page-range>e205-e7</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ranganathan]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Geethalakshmi]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Mohan]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Vidya]]></surname>
<given-names><![CDATA[KM]]></given-names>
</name>
<name>
<surname><![CDATA[Kumarasamy]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Solomon]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Orofacial and systemic manifestations in 212 paediatric HIV patients from Chennai, South India]]></article-title>
<source><![CDATA[Internat J paediatr dentistr]]></source>
<year>2010</year>
<volume>20</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>276-82</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Naranjo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Busto]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Sellers]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Sandor]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Roberts]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A method for estimating the probability of adverse drug reactions]]></article-title>
<source><![CDATA[Clin Pharmacol Therapeutics]]></source>
<year>1981</year>
<volume>30</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>239-45</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
